Ticagrelor

• ​Feeling breathless easily. Inform your healthcare professional if this happens.
• Mild bleeding such as:
• Unexplained nosebleed
• Bleeding from gums when brushing teeth. Use a soft bristle toothbrush to avoid gum bleeds.
• Bleeding from small cuts for 10-15 minutes even as you apply pressure on the wound. Check with your doctor if the bleeding does not stop within 15 minutes or if you feel unwell.
• Menstrual bleeding that is heavier than normal. However, heavy menstrual bleeding can also happen for other reasons. Do check with your doctor if you feel unwell.

Inform your healthcare professional if these side-effects do not go away or are bothersome to you.

Patients taking antiplatelets may have increased risk of bleeding. If you experience any serious bleeding, you should stop your medication and inform your healthcare professional immediately.

Serious bleeding may include one or more of the following:

• Blood in the urine
• Black and sticky stools (if you are not using iron supplements at the same time)
• Unexplained large bruises
• Coughing up blood or coffee ground-like vomit
• Sudden severe headache with nausea or loss of consciousness

The symptoms of a drug allergy include one or more of the following:

• Swollen face/eyes/lips/tongue
• Difficulty in breathing
• Itchy skin rashes over your whole body

If you experience any of these symptoms, you should stop your medication and see your healthcare professional immediately.

​Inform your healthcare professional if:

• You are allergic to this medication or any of the other ingredients of this medication.
• You are pregnant, planning to become pregnant, or breastfeeding.
• You have kidney or liver problems.
• You have a history of stomach or intestinal ulcers or bleeds, bleeding in the brain or other bleeding problems.
• You are planned for any medical procedures, surgeries or dental procedures as these medications may need to be stopped temporarily before the procedure to prevent too much bleeding.
• You are taking any other medications, including supplements, traditional medications and herbal remedies.

​Avoid taking grapefruit when you are taking this medication as grapefruit may interact with your medication and increase the risk of side-effects.

Some medications may interact with this medication and affect their effectiveness or increase the risk of side-effects. However, these medications may also be important for your treatment. Inform your healthcare professional of the other medications you are currently taking.

Examples include:

• Medications for bacterial infections (e.g. clarithromycin, erythromycin)
• Medications for fungal infections (e.g. itraconazole, ketoconazole)
• Medications for viral infections (e.g. atazanavir, darunavir, ritonavir)

Consult your healthcare professional if you are unsure whether your existing medications can be taken together with this medication.

​Do not stop taking your medication without checking with your healthcare professional.
You may take this medication with or without food.

​If you forget to take a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Then take your next dose at the usual time. Do not take two doses to make up for the missed dose.

​Throw away all expired medications.

​Pack this medication into a black trash bag and seal it tightly before throwing into the rubbish chute or bin.